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Welcome! This form is for new clients interested in booking a consultation. Please answer the questions below so we can provide the best possible service.
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Full Name
*
This field is required.
First Name
Last Name
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3
Today's Date
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Date
Month
Day
Year
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Location (City and State)
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Email Address
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example@example.com
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Phone Number
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Area Code
Phone Number
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Best Contact Method
*
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Text
Email
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Desired Timeline/Date for Appointment
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Within next month
Within next 2-3 months
Within next 6 months
Doesn't matter
Other
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9
What services are you interested in?
*
This field is required.
Haircut & Style
Hair Color
Hair Lightening or Dimensional Color
Hair Extensions
Full Transformation or Color Correction
Multiple Services
Other
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10
Tell me about the services you're interested in.
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11
Tell me about your current hair, complaints, or concerns.
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12
Hair History (last 2 years)
*
This field is required.
Box Color
Henna
Professional Color
Splat
Manic Panic
Virgin
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13
Please note: Anything previously in your hair needs to be disclosed so we can achieve the best results together.
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14
What type of hair products do you use?
Professional Products
Drug Store Products
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15
Describe your normal hair routine.
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16
Optional: In the last 6 months, have you experienced any of the following that may affect your hair goals?
Had COVID
Medications
Postpartum
Retinol
Lyme Disease
Other
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17
Upload a photo of your current hair (front view)
*
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Drag and drop files here
Select files to upload
Max. file size
: 10.0MB
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Upload a photo of your current hair (back view)
*
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Drag and drop files here
Select files to upload
Max. file size
: 10.0MB
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19
Upload a goal hair photo (inspiration #1)
*
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Select files to upload
Max. file size
: 10.0MB
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20
Upload a goal hair photo (inspiration #2)
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.0MB
Upload a File
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21
Booking Policies & Next Steps
This salon specializes in corrective color, extensions, and chemical services.
A 30% non-refundable deposit is required and applied to your total service.
Hair extension inquiries require a second in-person consultation.
You may be photographed or filmed for social media; if you wish to opt out of face filming, please let us know at your appointment.
Contracts may be required for color corrections and hair extensions.
After submitting this form, you will be able to schedule your consultation.
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